Section 2: Department Outcomes and Planned Performance

Outcome I 01

Section 2 – Department Outcomes – 1 Population Health

Section 2: Department Outcomes and Planned Performance

2.1  Outcome and Performance Information

Government Outcomes are the intended results, impacts or consequences of actions by the Government on the Australian community. Agencies deliver Programs, which are the Government actions taken to deliver the stated Outcomes. Agencies are required to identify the Programs which contribute to Government Outcomes over the Budget and forward years.

Each Outcome is described below together with its related Programs, specifying the indicators and targets used to assess and monitor the performance of the Department of Health and Ageing in achieving Government Outcomes.

Outcome 1

Population Health

A reduction in the incidence of preventable mortality and morbidity in Australia, including through regulation and national initiatives that support healthy lifestyles and disease prevention

Outcome Strategy

The Australian Government, through Outcome 1, aims to reduce the incidence of preventable mortality and morbidity throughout Australia.[1] To achieve this, the Department will implement a suite of population health initiatives spanning disease prevention, screening, disease control, palliative and end of life care, regulatory policy, immunisation and public health.

Key initiatives in 2013-14 include continuing to address the report of the Preventative Health Taskforce[2] through the world’s toughest regime on smoking, funding social marketing campaigns tackling tobacco and illicit drugs, anddelivering the inaugural Australian Health Survey.

Outcome 1 is the responsibility of Population Health Division, Mental Health andDrug Treatment Division, Regulatory Policy andGovernance Division, the Office of Health Protection, the Therapeutic Goods Administration, the National Industrial Chemicals Notification and Assessment Scheme, and the Office of the Gene Technology Regulator.

Programs Contributing to Outcome 1

Program 1.1: Prevention, early detection and service improvement

Program 1.2: Communicable disease control

Program 1.3: Drug strategy

Program 1.4: Regulatory policy

Program 1.5: Immunisation

Program 1.6: Public health

Outcome 1 Budgeted Expenses and Resources

Table 1.1 provides an overview of the total expenses for Outcome 1 by program.

Table 1.1: Budgeted Expenses and Resources for Outcome 1

2012-13 Estimated actual
$'000 / 2013-14 Estimated expenses
$'000
Program 1.1: Prevention, early detection and service improvement1
Administered expenses
Ordinary annual services (Appropriation Bill No. 1) / 92,377 / 117,022
Departmental expenses
Departmental appropriation2 / 15,109 / 14,395
Expenses not requiring appropriation in the budget year3 / 461 / 622
Total for Program 1.1 / 107,947 / 132,039
Program 1.2: Communicable disease control
Administered expenses
Ordinary annual services (Appropriation Bill No. 1) / 10,653 / 19,826
Departmental expenses
Departmental appropriation2 / 4,962 / 5,178
Expenses not requiring appropriation in the budget year3 / 148 / 199
Total for Program 1.2 / 15,763 / 25,203
Program 1.3: Drug strategy1
Administered expenses
Ordinary annual services (Appropriation Bill No. 1) / 208,704 / 231,367
Departmental expenses
Departmental appropriation2 / 27,461 / 26,303
Expenses not requiring appropriation in the budget year3 / 833 / 1,126
Total for Program 1.3 / 236,998 / 258,796
Program 1.4: Regulatory policy
Administered expenses
Ordinary annual services (Appropriation Bill No. 1) / 5,177 / 2,517
Departmental expenses
Departmental appropriation2 / 16,887 / 24,444
to special accounts / (11,854) / (14,486)
Expenses not requiring appropriation in the budget year3 / 153 / 207
Special accounts
OGTR Special Account4 / 8,001 / 8,142
NICNAS Special Account5 / 14,532 / 15,018
TGA Special Account6 / 131,310 / 148,428
Expense adjustment7 / (7,448) / (14,356)
Total for Program 1.4 / 156,758 / 169,914

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Outcome I 01

Section 2 – Department Outcomes – 1 Population Health

Table 1.1: Budgeted Expenses and Resources for Outcome 1(Cont.)

2012-13 Estimated actual
$'000 / 2013-14 Estimated expenses
$'000
Program 1.5: Immunisation1
Administered expenses
Ordinary annual services (Appropriation Bill No. 1) / 25,259 / 20,515
to Australian Childhood Immunisation Register Special Account / (2,847) / (5,747)
Special appropriations
National Health Act 1953 - essential vaccines / 80,278 / 118,240
Special accounts
Australian Childhood Immunisation Register Special Account / 6,457 / 9,388
Departmental expenses
Departmental appropriation2 / 5,479 / 4,427
Expenses not requiring appropriation in the budget year3 / 160 / 216
Total for Program 1.5 / 114,786 / 147,039
Program 1.6: Public health1
Administered expenses
Ordinary annual services (Appropriation Bill No. 1) / 16,009 / 18,312
Other services (Appropriation Bill No. 2) / 15,226 / 11,058
Departmental expenses
Departmental appropriation2 / 7,616 / 6,744
Expenses not requiring appropriation in the budget year3 / 231 / 312
Total for Program 1.6 / 39,082 / 36,426
Outcome 1 totals by appropriation type
Administered expenses
Ordinary annual services (Appropriation Bill No. 1) / 358,179 / 409,559
to special accounts / (2,847) / (5,747)
Other services (Appropriation Bill No. 2) / 15,226 / 11,058
Special appropriations / 80,278 / 118,240
Special accounts / 6,457 / 9,388
Departmental expenses
Departmental appropriation2 / 77,514 / 81,491
to special accounts / (11,854) / (14,486)
Expenses not requiring appropriation in the budget year3 / 1,986 / 2,682
Special accounts / 146,395 / 157,232
Total expenses for Outcome 1 / 671,334 / 769,417
2012-13 / 2013-14
Average staffing level (number) / 1,227 / 1,250

1 This program includes National Partnerships paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) Framework. National partnerships are listed in this chapter under each program. For budget estimates relating to the National Partnership component of the program, please refer to Budget Paper 3 or Program 1.10 of the Treasury Portfolio Budget Statements.

2 Departmental appropriation combines "Ordinary annual services (Appropriation Bill No 1)" and "Revenue from independent sources (s31)".

3 "Expenses not requiring appropriation in the Budget year" is made up of depreciation expense, amortisation expense, makegood expense and audit fees.

4 Office of the Gene Technology Regulator Special Account.

5 National Industrial Chemicals Notification and Assessment Scheme Special Account.

6 Therapeutic Goods Administration Special Account.

7 Special accounts are reported on a cash basis. This adjustment reflects the differences between expense and cash, and eliminates inter-entity transactions between the Core department and TGA.

Program 1.1: Prevention, early detection and service improvement

Program Objectives

Reduce the incidence of chronic disease and promote healthier lifestyles

In 2013-14, the Government will provide funding through the Chronic Disease Prevention and Service Improvement Fund for a range of chronic disease prevention projects, particularly within the primary and community care sectors. These projects aim to reduce the incidence of preventable mortality and morbidity, maximise the wellbeing and quality of life of individuals affected by chronic disease from initial diagnosis to end of life, reduce the pressure on the health, hospital and aged care systems, and support best practice in the prevention, detection, treatment and management of chronic disease.

Improve palliative care in Australia

The Chronic Disease Prevention and Service Improvement Fund will also fund a range of national palliative care projects, primarily focusing on education, training and quality improvement.

Support early detection and prevention of cancer[3]

The Australian Government will fund three existing Australian Prostate Cancer Research Centres over four years, including continued funding for the Centre at Epworth Hospital in Richmond, Victoria; continued funding for the Centre at the Princess Alexandra Hospital in Brisbane, Queensland; and new funding for the Centre at the Kinghorn Cancer Centre, New South Wales. This will enable the Centres to continue working collaboratively to coordinate research more effectively and develop improved diagnostic tests (including techniques to differentiate between aggressive and non-aggressive cancers), screening tools and treatments for prostate cancer.

The Australian Government will expand the National Bowel Cancer Screening Program from 2013-14, offering free bowel cancer screening using a faecal occultblood test (FOBT) to people turning 60 years of age from 1 January 2013 commencing in July 2013, and to people turning 70 years of age from 1 January 2015 commencing in July 2015. This will build on the existing program which currently invites people turning 50, 55 and 65 years of age to participate. Biennial screening for Australians 50-74 years of age will be phased in from 2017.

To reduce the rate of breast cancer mortality, the Commonwealth, state and territory governments jointly provide mammography screening through BreastScreenAustralia. From 2013-14, the Australian Government will provide funding of $55.7 million dollars over four years to expand the target age range for BreastScreen Australia from women 50-69 to women 50-74 years of age. From early 2014, the program will start inviting women 70-74 years of age to participate in BreastScreen Australia. This initiative builds on the existing program, which commenced in 1991, and currently invites women 50-69 years of age to participate in mammography screening. Women 40 years of age and older will continue to be eligible for this free service. BreastScreenAustralia services are provided through a network of dedicated, accredited providers in around 600 locations nationwide.

The Australian Government and the state and territory governments also co-fund the National Cervical Screening Program. The program aims to reduce morbidity and deaths from cervical cancer by offering free screening with Pap smears every two years for women between 18 and 69 years of age.

Chronic disease management and support

In 2013-14, the Australian Government will continue the DiabetesCareProject pilot, involving up to 10,000 patients from around 150 practices in Queensland, Victoria and South Australia. The project is piloting a new comprehensive, patientcentred model of care which allows for local flexibility and improved coordination of care and access to a range of multidisciplinary services.

Program 1.1 is linked as follows:

·  This Program includes National Partnership Payments for:

-  National Bowel Cancer Screening Program;

-  Victorian Cytology Service; and

-  Breast Screening.

Partnership payments are paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) Framework. ForBudget estimates relating to the National Partnership component of the program, refer to Budget Paper 3 or Program 1.10 of the Treasury’s Portfolio Budget Statements.

·  The Department of Human Services (Services to the Community – Program1.1) is funded to administer the National Bowel Cancer Screening Program Register and support cervical cancer screening.

Program 1.1: Expenses

Table 1.2: Program Expenses

2012-13
Estimated
actual
$'000 / 2013-14
Budget
$'000 / 2014-15
Forward
year 1
$'000 / 2015-16
Forward
year 2
$'000 / 2016-17
Forward
year 3
$'000
Annual administered expenses
Ordinary annual services / 92,377 / 117,022 / 104,981 / 115,171 / 115,939
Program support / 15,570 / 15,017 / 14,651 / 14,655 / 14,745
Total Program 1.1 expenses / 107,947 / 132,039 / 119,632 / 129,826 / 130,684

Program 1.1: Deliverables

Qualitative Deliverables for Program 1.1

Reduce the incidence of chronic disease and promote healthier lifestyles; and improve palliative care in Australia

Qualitative Deliverable / 2013-14 Reference Point or Target /
Undertake grant funding and procurement processes as required to meet the objectives of the Chronic Disease Prevention and Service Improvement Fund / Negotiation and execution of appropriate funding contracts and funding agreements to be completed by June 2014, to enable funding to commence from 2014-15

Support early detection and prevention of cancer

Qualitative Deliverables / 2013-14 Reference Point or Target /
Implement the expansion of the National Bowel Cancer Screening Program to invite Australians turning 60 years of age / Invitations to commence 1 July 2013
Implement outcomes of the review of BreastScreen Australia’s accreditation system / Completed by June 2014
Implement the expansion of BreastScreen Australia to invite Australian women 70-74 years of age / Invitations to commence early 2014

Chronic disease management and support

Qualitative Deliverable / 2013-14 Reference Point or Target /
Oversee implementation of the Diabetes Care Project pilot to test a more comprehensive, patient-centred approach to improve the care of patients with diabetes / Implementation of the Diabetes Care Project pilot in identified sites across three states – Queensland, South Australia and Victoria

Program 1.1: Key Performance Indicators

Qualitative Key Performance Indicator for Program 1.1

Reduce the incidence of chronic disease and promote healthier lifestyles; and improve palliative care in Australia

Qualitative Indicator / 2013-14 Reference Point or Target /
Effective implementation of the Chronic Disease Prevention and Service Improvement Fund activities / Regular progress reports on key milestones from contracted organisations indicate that activities are being implemented effectively in accordance with contractual arrangements

Quantitative Key Performance Indicators for Program 1.1

Support early detection and prevention of cancer

Quantitative
Indicators / 2012-13 Revised Budget / 2013-14 Budget
Target / 2014-15 Forward
Year 1 / 2015-16 Forward
Year 2 / 2016-17 Forward
Year 3 /
Percentage of people invited to take part in the National Bowel Cancer Screening Program who participated[4] / 41.0% / 41.0% / 41.0% / 41.0% / 41.0%
Percentage of women 50-69 years of age participating in the BreastScreen Australia Program[5] / 55.2% / 55.2% / 55.2% / 55.2% / 55.2%
Percentage of women 70-74 years of age participating in the program[6] / N/A / 41.0% / 51.0% / 53.0% / 55.2%
Percentage of women in the target age group participating in the National Cervical Screening Program[7] / 58.6% / 58.6% / 58.6% / 58.6% / 58.6%

Chronic disease management and support

Quantitative
Indicator / 2012-13 Revised Budget / 2013-14 Budget
Target / 2014-15 Forward
Year 1 / 2015-16 Forward
Year 2 / 2016-17 Forward
Year 3 /
Number of patients enrolled in the Diabetes Care Project[8] / 10,000 / 10,000 / N/A / N/A / N/A

Program 1.2: Communicable disease control

Program Objective

Reduce the incidence of blood borne viruses and sexually transmissible infections

The Australian Government has established the Communicable Disease Prevention and Service Improvement Grants Fund to support non-government organisations to deliver a variety of education and prevention activities. These activities are aimed at raising awareness of blood borne viruses (BBVs) and sexually transmissible infections (STIs), encouraging safe sexual and injecting practices, improving access to testing and treatment of BBVs and STIs, reducing discrimination and improving the wellbeing of those living with BBVs and STIs. Grants provided through the fund will take account of the aims and objectives contained in nationally agreed strategies relating to BBVs and STIs, and other relevant guidelines.